Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $277.49 / $388.14	Facility		$142.63	$277.49	$388.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $109.83 / $138.35	Professional		$94.14	$109.83	$138.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $259.16 / $323.95	Professional		$171.16	$259.16	$323.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $192.55 / $729.00	Professional		$150.00	$192.55	$729.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $184.06 / $365.13	Facility		$142.63	$184.06	$365.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $95.70 / $535.90	Professional		$85.58	$95.70	$535.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $216.57 / $312.58	Facility		$171.16	$216.57	$312.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $260.83 / $372.26	Professional		$171.16	$260.83	$372.26
United Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $292.02	Professional		$85.58	$85.58	$292.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63